EURORAD ESR

Case 15428

SCIWORA in patient with congenital block vertebra

Author(s)
Lucas Walgrave1, Charlotte Vanhoenacker1-2, Thomas Golinvaux3, Filip Vanhoenacker3-5

1: Leuven University Hospital, Department of Radiology, Herestraat, 49, 3000 Leuven, Belgium
2: H.-Hart Ziekenhuis Lier, Department of Radiology; Mechelsestraat 24, 2500 Lier, Belgium
3: AZ Sint-Maarten Duffel-Mechelen, Department of Radiology and Emergency; Leopoldstraat 2, 2800 Mechelen, Belgium
4: Ghent University Hospital, Department of Radiology; De Pintelaan 185, 9000 Ghent, Belgium
5: Antwerp University Hospital, Department of Radiology; Wilrijkstraat 10, 2650 Antwerp, Belgium
 
Patient
female, 54 year(s)
 
 
  • Figure 1
    CT scan of the cervical column
     

    Sagittal reformatted image: Block vertebra C6-C7 with concavity of the anterior wall (red arrow) and partial osseous fusion (yellow star).

     
    Area of Interest: Spine; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Trauma;

    Coronal reformatted image: Block vertebra C6-C7 with partial osseous fusion (yellow star) with residual calcified disc remnant (yellow arrow).

     
    Area of Interest: Spine; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Trauma;
     
     
  • Figure 2
    MRI of the cervical column
     

    Sagittal T1-WI: Fusion of C6-C7 with anterior concave delineation of the vertebral bodies C6 and C7 (red arrow).

     
    Area of Interest: Spine; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Trauma;

    Sagittal T2-WI: Fusion of C6-C7 with anterior concavity C6 and C7 (red arrow). Note swelling and hyperintense signal of the cervical myelum at C3-4 extending to C5-C6 (yellow arrow).

     
    Area of Interest: Spine; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Trauma;

    Sagittal left paramedian T2-WI: High signal in spinal cord at C3-C4 (yellow arrow). Note cord swelling causing loss of delineation of the anterior and posterior perimedullary liquor space on C3-C6 (red arrows).

     
    Area of Interest: Spine; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Trauma;

    Axial T2-WI: Intermediate to high signal in the spinal cord at C3-C4 (yellow arrow).

     
    Area of Interest: Spine; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Trauma;

    Sagittal TIR: Fusion of C6-C7 with anterior concavity C6 and C7 (red arrow). Note swelling and hyperintense signal of the cervical myelum at C3-4 extending to C5-C6 (yellow arrow).

     
    Area of Interest: Spine; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Trauma;
     
     
Sagittal reformatted image: Block vertebra C6-C7 with concavity of the anterior wall (red arrow) and partial osseous fusion (yellow star).
 
Coronal reformatted image: Block vertebra C6-C7 with partial osseous fusion (yellow star) with residual calcified disc remnant (yellow arrow).
 
Sagittal T1-WI: Fusion of C6-C7 with anterior concave delineation of the vertebral bodies C6 and C7 (red arrow).
 
Sagittal T2-WI: Fusion of C6-C7 with anterior concavity C6 and C7 (red arrow). Note swelling and hyperintense signal of the cervical myelum at C3-4 extending to C5-C6 (yellow arrow).
 
Sagittal left paramedian T2-WI: High signal in spinal cord at C3-C4 (yellow arrow). Note cord swelling causing loss of delineation of the anterior and posterior perimedullary liquor space on C3-C6 (red arrows).
 
Axial T2-WI: Intermediate to high signal in the spinal cord at C3-C4 (yellow arrow).
 
Sagittal TIR: Fusion of C6-C7 with anterior concavity C6 and C7 (red arrow). Note swelling and hyperintense signal of the cervical myelum at C3-4 extending to C5-C6 (yellow arrow).
 
 
 
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